Nancy Kaye Waite-o'brien, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rogersville, Tennessee. Her current practice location is
423 E Mckinney Ave, Rogersville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(760) 275-8598.
Nancy Kaye Waite-o'brien is licensed to practice in Tennessee (license number 4037) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528450384.
Healthcare Provider's Profile
| Full Name | Nancy Kaye Waite-o'brien |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 423 E Mckinney Ave, Rogersville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528450384
- Provider Enumeration Date: 03/03/2015
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163842758
- Enrollment ID: I20201021000106
Medical Identifiers
Medical identifiers for Nancy Kaye Waite-o'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528450384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PSY13350 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4037 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nancy Kaye Waite-o'brien is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nancy Kaye Waite-o'brien, PHD
423 E Mckinney Ave,
Rogersville, TN 37857-3339
Ph: (760) 275-8598 | Nancy Kaye Waite-o'brien, PHD
423 E Mckinney Ave,
Rogersville, TN 37857-3339
Ph: (760) 275-8598 |
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